TY - JOUR PY - 2016// TI - What happens to drinking when alcohol policy changes? A review of five natural experiments for alcohol taxes, prices, and availability JO - European journal of health economics A1 - Nelson, Jon P. A1 - McNall, Amy D. SP - 417 EP - 434 VL - 18 IS - 4 N2 - Natural experiments are an important alternative to observational and econometric studies. This paper provides a review of results from empirical studies of alcohol policy interventions in five countries: Denmark, Finland, Hong Kong, Sweden, and Switzerland. Major policy changes were removal of quotas on travelers' tax-free imports and reductions in alcohol taxes. A total of 29 primary articles are reviewed, which contain 35 sets of results for alcohol consumption by various subpopulations and time periods. For each country, the review summarizes and examines: (1) history of tax/quota policy interventions and price changes; (2) graphical trends for alcohol consumption and liver disease mortality; and (3) empirical results for policy effects on alcohol consumption and drinking patterns. We also compare cross-country results for three select outcomes-binge drinking, alcohol consumption by youth and young adults, and heavy consumption by older adults. Overall, we find a lack of consistent results for consumption both within- and across-countries, with a general finding that alcohol tax interventions had selective, rather than broad, impacts on subpopulations and drinking patterns. Policy implications of these findings are discussed.

Language: en

LA - en SN - 1618-7598 UR - http://dx.doi.org/10.1007/s10198-016-0795-0 ID - ref1 ER -